NPI 1033541966

Genesisjames Basilio Dizon, SFIDC

Practitioner Independent Duty Corpsman Camp Pendleton, CA

Practice location

Address: 200 Mercy Circle, Camp Pendleton, CA 92055
Phone: (818) 454-1131
Mailing address: 162 1st St, Port Hueneme, CA 93043-4316

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in California →

Registry record

NPI: 1033541966
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2013
Record last updated: 5 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.